Individual
DOREEN RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
401 16TH ST SE, ROCHESTER, MN 55904-7973
(507) 473-4327
Mailing address
214 SAINT PAUL ST NW, PRESTON, MN 55965-1027
(507) 216-1075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
28831
MN
1041C0700X
Clinical Social Worker
Primary
IC-1140
NV
Other
Enumeration date
09/07/2017
Last updated
09/23/2024
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